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首页> 外文期刊>The American journal of hospice and palliative care >Clinical indicators of treatment futility and imminent terminal decline as discussed by multidisciplinary teams in long-term care.
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Clinical indicators of treatment futility and imminent terminal decline as discussed by multidisciplinary teams in long-term care.

机译：多学科团队在长期护理中讨论的治疗无效和即将终止的临床指标。

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Focus group methodology was used to describe how members of multidisciplinary teams in long-term care facilities recognize when residents are approaching end-stage disease, document evidence that associated treatment futility has occurred, and convey this information to the residents, each other, and family members. In addition to the typical clinical indicators of treatment futility found in the literature (e.g., recurrent infections, weight loss, falls, functional decline), team members described a set of physical and affective changes that were apparent to them as their residents approached trajectories of imminent terminal decline. While more difficult to quantify and measure, these other indicators have a significant impact on the ways that team members assess and interpret a person's survival potential. Using these indicators of both treatment failure and imminent decline requires knowledge of a resident's history, clinical condition, course of care, and individual idiosyncrasies. Together, the indicators offer important cues that are needed for the identification of persons who might benefit from earlier transitions to palliative care.
机译：焦点小组方法用于描述长期护理机构中多学科团队的成员如何识别居民何时接近末期疾病，记录证据表明相关治疗无效，并将此信息传达给居民，彼此以及家人成员。除了文献中发现的治疗无效性的典型临床指标（例如反复感染，体重减轻，跌倒，功能下降）外，研究小组成员还描述了一系列物理和情感变化，这些变化对他们的居民接近运动的轨迹很明显。即将到来的终端下降。这些其他指标虽然难以量化和衡量，但对团队成员评估和解释一个人的生存潜力的方式有重大影响。使用这些治疗失败和即将下降的指标需要了解居民的病史，临床状况，护理过程和个人特质。这些指标一起提供了重要的线索，以识别可能从早期过渡到姑息治疗中受益的人。

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